Bleeding down there but not like menstruation

Abnormal vaginal bleeding, if the possibility of pregnancy can be ruled out, is likely caused by gynecological inflammation. In this case, it is best to go to the hospital for a check-up. After finding out the cause, take medication under the guidance of a doctor. Do not take medication blindly by yourself, otherwise it will delay the disease and may even worsen the condition, missing the best time for treatment. Abnormal vaginal bleeding must be taken seriously.

Why does vaginal bleeding occur irregularly?

1. Endocrine disorders

For bleeding caused by this endocrine disorder, the possibility of organic lesions is generally ruled out first. For example, if women of childbearing age have vaginal bleeding, it is necessary to rule out a history of improper contraceptive use and other lesions of the reproductive organs. Relevant endocrine examinations can be done, generally including vaginal cytology smears and pathological examinations of the endometrium. If bleeding occurs during menopause, in addition to the possibility of malignant tumors, it may also be caused by endocrine disorders. The ovaries secrete less estrogen, but the adrenal glands can replace it. In addition, another possibility is that it is the result of exogenous medication.

2. Tumor

Irregular vaginal bleeding and benign and malignant tumors of the reproductive organs may be the "culprits". For example, submucosal uterine fibroids and intramural fibroids can cause heavy menstrual flow. Malignant tumors of the vagina, cervix, and uterine body can cause small amounts of bleeding, or bleeding after menopause. In addition, if you suffer from ovarian granulosa cell tumor, which causes excessive estrogen secretion, you may also experience excessive menstruation, irregular vaginal bleeding, and postmenopausal bleeding. B-ultrasound examination can help with diagnosis.

3. Genital inflammation

The amount of bleeding caused by this type of inflammation is not large, but there is often an abnormal increase in leucorrhea. Vulvar inflammation, ulcers, and urethral caruncle may all cause a small amount of bleeding. Trichomonas vaginitis, candidal vaginitis and senile vaginitis are relatively common vaginal inflammations. The first two are accompanied by abnormal leucorrhea, and the latter is often manifested as postmenopausal bleeding. Cervicitis can cause contact bleeding, especially when there are cervical polyps. In addition to considering cervical cancer, cervical ulcers should also rule out syphilitic and tuberculous lesions. Endometrial inflammation often occurs after miscarriage and full-term delivery, and there is also an increase in bloody leucorrhea. In addition, pelvic inflammatory disease may also be associated with menorrhagia and irregular bleeding.

4. Related to pregnancy

Women of childbearing age need to pay attention to whether there is abnormal tissue in their menstrual blood. When seeking medical treatment, it is best to send the "meat-like substance" mixed in the blood to the hospital for pathological examination to determine whether it is a miscarriage, ectopic pregnancy, or hydatidiform mole.

5. Related to contraception

Some women take oral contraceptives irregularly or their intrauterine contraceptive rings shift, which can cause irregular bleeding.

6. Systemic diseases

Excessive menstruation or uterine bleeding may also be caused by diseases such as nephritis, leukemia, aplastic anemia, etc.

7. Trauma

Bleeding may occur if there is damage to the vulva or vagina, or if there is a foreign object in the vagina. If the bleeding occurs after sexual intercourse, you may first consider whether it is cervical cancer. In addition, cervicitis and senile vaginitis are also possible. For some women after menopause, the estrogen level in their bodies decreases, and their vaginal mucosa becomes more fragile and easily damaged and bleeding.

3 types of irregular vaginal bleeding

In addition to regular menstrual bleeding, uterine fibroids, intrauterine device placement or adenomyosis may all lead to increased menstrual flow. The side effects of intrauterine device placement often manifest as spotting before or after menstruation. Endometriosis may also have similar symptoms.

If it is periodic irregular vaginal bleeding, it may be anovulatory bleeding, and you should also be alert to whether it is endometrial cancer.

In the absence of any periodic and long-term vaginal bleeding, reproductive tract malignancies, such as cervical cancer or endometrial cancer, are generally considered. Be alert to irregular vaginal bleeding and take it seriously, detect it early and treat it early to avoid more serious consequences due to delayed treatment.